Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Dean Maynard, DO

Individual provider Emergency Medicine Physician · NPI 1790079499

Matthew Dean Maynard, DO is an Emergency Medicine in Watertown, New York. Qualified in 2011, 15 years ago. Practices with Samaritan Medical Center, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

830 Washington St
Watertown, NY 13601-4034
Phone: (315) 786-4813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 269418 (NY)

Record details

NPI number1790079499
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 31, 2011
Last updated in NPPESMarch 26, 2018
Mailing address830 Washington St, Watertown, NY 13601-4034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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